Sophiya Devaraj
Junior Medical Coder
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About
Risk Adjustment Expertise: Result-oriented HCC Medical Coder with 8 months of specialized experience in Risk Adjustment coding and expert application of ICD-10-CM guidelines.
Clinical Chart Auditing: Proven expertise in meticulously reviewing complex patient records to identify and capture chronic conditions, ensuring precise RAF (Risk Adjustment Factor) score documentation.
Operational Excellence: Demonstrated track record of maintaining superior coding accuracy while consistently exceeding rigorous daily productivity targets.
Regulatory Compliance: Committed to upholding the highest industry standards by ensuring all coding practices strictly adhere to CMS (Centers for Medicare & Medicaid Services) regulations.
Experience
Junior Medical Coder - Medcode Services - Chennai
(2024-06 - 2025-02)
- Precision Risk Adjustment: Executed detailed chart reviews for diverse Risk Adjustment projects, accurately identifying and capturing chronic conditions to ensure precise RAF (Risk Adjustment Factor) score reporting.
- ICD-10-CM Specialization: Applied advanced knowledge of ICD-10-CM guidelines to clinical documentation, translating complex patient encounters into accurate medical codes with a high level of technical proficiency.
- Quality & Productivity Excellence: Consistently exceeded rigorous daily productivity targets while maintaining a superior accuracy rate, balancing speed with a meticulous eye for detail to minimize coding errors.
- Regulatory Compliance: Upheld the highest standards of integrity by ensuring all coding activities strictly adhered to CMS (Centers for Medicare & Medicaid Services) documentation requirements and internal organizational protocols.
- Clinical Data Integrity: Collaborated within a professional coding team to audit patient records, ensuring that all documented comorbidities were supported by clinical evidence to optimize data integrity for healthcare stakeholders.
Education
MSc - Microbiology - Jamal Mohammed College (2021-08 - 2024-06)
BSc - Microbiology - Sri Ram Nallamani Yadava College of Arts and Science (2019-08 - 2022-06)
